| NPI | 1275759052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 006688-1) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 6688) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2023-07-06 |